John R Moore Iv (NPI# 1174530075, PAC ID# 2264456821) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1174530075 |
| PAC ID by PECOS | 2264456821 |
| Professional Enrollment ID | I20060123000506 |
| Full Name | John R Moore Iv |
| Organization Legal Name | MCPC-9 LLC |
| Address |
809 S Long Dr Rockingham NC 28379-4377 |
| Phone Number | 9104174096 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 1658526710 |
| Number of Group Practice Members | 49 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340115 | FIRSTHEALTH MOORE REGIONAL HOSPITAL |
| 340008 | SCOTLAND MEMORIAL HOSPITAL |
| 340050 | SOUTHEASTERN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5 1st Village Dr, Pinehurst, NC 28374-8724 | 9102956831 | PINEHURST SURGICAL CLINIC PA |
| 809 S Long Dr, Rockingham, NC 28379-4377 | 9104174096 | MCPC-9 LLC |
| Organization Legal Name | MCPC-9 LLC |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Reid Christopher Vegeler | General Surgery | Mcpc-9 LLC | 6322 Fayetteville Rd, Raeford, NC 28376-7979 |
| Chad Cole | Physician Assistant | Mcpc-9 LLC | 809 S Long Dr, Rockingham, NC 28379-4377 |
| Sarah A Rose | Qualified Audiologist | Mcpc-9 LLC | 522 Allen St, Troy, NC 27371-2861 |
| Kurt P Wohlrab | Orthopedic Surgery | Mcpc-9 LLC | 809 S Long Dr, Rockingham, NC 28379-4377 |
| James C Nichols | Physician Assistant | Mcpc-9 LLC | 809 S Long Dr, Rockingham, NC 28379-4377 |
| Wyman T Mcguirt | Otolaryngology | Mcpc-9 LLC | 809 S Long Dr, Rockingham, NC 28379-4377 |
| Fabian E Alzamora | General Surgery | Mcpc-9 LLC | 522 Allen St, Troy, NC 27371-2861 |
| Mark E Brenner | Orthopedic Surgery | Mcpc-9 LLC | 809 S Long Dr, Rockingham, NC 28379-4377 |
| Chad A Frazer | Physician Assistant | Mcpc-9 LLC | 522 Allen St, Troy, NC 27371-2861 |
| Christopher Mclaurin Johnson | Orthopedic Surgery | Mcpc-9 LLC | 809 S Long Dr, Rockingham, NC 28379-4377 |
| Street Address |
809 S LONG DR |
| City | ROCKINGHAM |
| State | NC |
| Zip | 28379-4377 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chad Cole | Physician Assistant | Mcpc-9 LLC | 809 S Long Dr, Rockingham, NC 28379-4377 |
| Paul Gulsharan Singh | Interventional Radiology | Carolina Spine Center Pa | 809 S Long Dr, Suite G, Rockingham, NC 28379-4375 |
| Kurt P Wohlrab | Orthopedic Surgery | Mcpc-9 LLC | 809 S Long Dr, Rockingham, NC 28379-4377 |
| James C Nichols | Physician Assistant | Mcpc-9 LLC | 809 S Long Dr, Rockingham, NC 28379-4377 |
| Wyman T Mcguirt | Otolaryngology | Mcpc-9 LLC | 809 S Long Dr, Rockingham, NC 28379-4377 |
| Kim J Puckett | Nurse Practitioner | Carolina Spine Center Pa | 809 S Long Dr, Suite G, Rockingham, NC 28379-4375 |
| David M Arnold | Chiropractic | 809 S Long Dr, Suite A, Rockingham, NC 28379-4375 | |
| Mark E Brenner | Orthopedic Surgery | Mcpc-9 LLC | 809 S Long Dr, Rockingham, NC 28379-4377 |
| Christopher Mclaurin Johnson | Orthopedic Surgery | Mcpc-9 LLC | 809 S Long Dr, Rockingham, NC 28379-4377 |
| Peng Bai | Physical Medicine and Rehabilitation | Carolina Spine Center Pa | 809 S Long Dr, Suite G, Rockingham, NC 28379-4375 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonadab Franco | Clinical Social Worker | 304 E Greene St, Rockingham, NC 28379-3423 | |
| Patsy Webb | Nurse Practitioner | Richmond County Government | 127 Caroline St, Rockingham, NC 28379-3567 |
| Janet L Sanford | Nurse Practitioner | Richmond County Government | 127 Caroline St, Rockingham, NC 28379-3567 |
| Joleen Comer Moore | Nurse Practitioner | Richmond County Government | 127 Caroline St, Rockingham, NC 28379-3567 |
| Tammie L Gainey | Nurse Practitioner | Sandhills Behavioral Care Pllc | 523 Rockingham Rd, Rockingham, NC 28379-3615 |
| Teresa K Freeman | Clinical Social Worker | Sandhills Behavioral Care Pllc | 523 Rockingham Rd, Rockingham, NC 28379-3615 |
| Jessica S Sawyer Horne | Clinical Social Worker | Daymark Recovery Services Inc | 116 S Lawrence St, Rockingham, NC 28379-3657 |
| Mirfattah Mirian | Podiatry | 721 S Long Dr, Rockingham, NC 28379-4315 | |
| Ava White | Nurse Practitioner | Carolina Spine Center Pa | 809 S Long Dr, Suite G, Rockingham, NC 28379-4375 |
| Logan Lewis | Nurse Practitioner | Mcpc-2 LLC | 809 S Long Dr, Suite H, Rockingham, NC 28379-4375 |
| Find all physicians in zip 28379 | |||
| City | ROCKINGHAM |
| Zip Code | 28379 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | ROCKINGHAM + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on John R Moore Iv.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.